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Cialis professional is a medicine for treatment of men's erectile dysfunction. The name of Cialis professional 20mg is not a brand medication but it is closely related to Cialis made by Eli Lilly. It is a generic form of Cialis with active ingredient Tadalafil as brand Cialis is.

Cialis Professional

Сialis professional is a drug primarily used for the treatment of erectile dysfunction (ED), and benign prostatic hyperplasia (BPH) in adult males. Cialis Professional have several advantages over similar drugs available in the market that include better sensitivity of the penis with increase in duration of erection and speedy revival following every sexual intercourse. It also has amazing 48 hour long lasting duration of erection. The active component of Cialis Professional is Tadalafil. Сialis professional is not recommended for children and adult women. Сialis professional gives better results in the presence of sexual stimuli as it does not act as an aphrodisiac.

Cialis Professional

Qualitative and quantitative composition:Сialis professional contains 20mg of tadalafil.

Pharmacological action: Tadalafil inhibits cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5) in a selective way and this inhibition is reversible in nature. When nitric oxide is released locally during sexual arousal, cGMP levels in the corpus cavernosum is increased due to the inhibitory action of tadalafil on PDE5 resulting in relaxation of smooth muscle and inflow of blood into the penile tissues. This overall action produces a penile erection. Tadalafil cannot produce sexual stimulation, so cannot act without it. Tadalafil acts similarly through inhibition of PDE5 on cGMP concentration inside corpus cavernosum and allows relaxation in smooth muscle of the prostate and bladder, thus resulting in increased blood circulation thereby reducing benign prostatic hyperplasia.

Therapeutic indications: Сialis professional is primarily indicated for the treatment of erectile dysfunction in adult males in the presence of sexual stimulation and to cure benign prostatic hyperplasia. It has no indication for women and children.

Contraindications: Сialis professional should not be indicated in patients having Tadalafil hypersensitivity. It showed hypotensive effects of nitrates thus concomitant use with organic nitrate should be avoided. Patients suffering from cardiac disorders (myocardial infarction, unstable angina, uncontrolled arrhythmias, hypotension, hypertension, stroke within the last 6 months) and NAION i.e. non-arteritic anterior ischemic optic neuropathy in one eye (lost vision) should not be administered with Сialis professional.

Special warnings and precautions for use:Сialis professional administration should not be started in patients suffering from erectile dysfunction and benign prostatic hyperplasia without thorough check up to understand the exact cause of the diseases. Consideration of the cardiovascular status, hypotensive effect of nitrates, presence of carcinoma of the prostate and non-arteritic anterior ischemic optic neuropathy of the patients have to be done properly in order to avoid potential risk factors.

Patients with renal and hepatic impairment should be advised against the use of Tadalafil as sufficient data on its effect on patients with such impairment is still not very clear.

In case of patients having priapism and anatomical deformation (cavernosal fibrosis, angulation or Peyronie's disease) of the penis proper treatment should be done instead of using Tadalafil as it may cause permanent loss of sexual potency.

Use of Tadalafil with CYP3A4 inhibitors should also be discouraged as this may result in increased exposure of Tadalafil.

Till date the combined effect of Tadalafil with other ED drugs have not been assessed properly, so their concurrent use is not advisable.

But no significant effects have been noted in concomitant use with Alcohol, Cytochrome P450 metabolized medicinal products, CYP2C9 substrates (R-warfarin), Aspirin and Antidiabetics.

Undesirable effects: The common adverse effects associated with Tadalafil include back pain, headache, myalgia and dyspepsia. Increased dose of Tadalafil further increases the problems. But all these effects are usually not very severe.

Interesting facts:

Daily one dose of Сialis professional is enough for maintaining erection for the next 55 hours in the presence of sexual stimuli.

Сialis professional can cause sudden vision loss. Immediate discontinuation of the drug and seeking medical advice is necessary.

Alcohol can reduce the effectiveness of Сialis professional considerably.